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why is health care so damn expensive?


never has there been more talk of innovation and yet more disappointment in the future than in the health care industry. angellist shows almost a thousand startups just in the digital health space alone, and vcs invested $3.5 billion in digital health startups in just the first half of 2017 according to rock health’s industry analysis. there are dozens of health innovation conferences hosted in the united states every year, with participants chattering, chattering, chattering about this or that “innovation.”all of that innovation has done practically nothing though to fix the single worst problem of modern american health care: it’s cost. health care in the united states has never been more expensive. the united states is spending about $3.5 trillion a year on health care expenses, an incr






why is health care so expensive in the first place?


as republicans on capitol hill struggle to find common ground on a plan to repeal and replace the affordable care act, and as democrats criticize their plans as too expensive for the neediest in society, one subject is absent from the debate -- why is health care so expensive to begin with?medical care prices increased 4 percent in 2016 according to the bureau of labor statistics, and premiums under obamacare's second-lowest costing "silver" plans rose 7.5 percent in 2015. plus, the u.s. spends far more per capita on health care -- $9,892 in 2016 -- than any other nation. that's a trend that doesn't show any sign of changing, according to the organization for economic cooperation and development (oecd).meanwhile, health care costs were outpacing the general rate of inflation long before th






why is health care so expensive in the first place?


as republicans on capitol hill struggle to find common ground on a plan to repeal and replace the affordable care act, and as democrats criticize their plans as too expensive for the neediest in society, one subject is absent from the debate -- why is health care so expensive to begin with?medical care prices increased 4 percent in 2016 according to the bureau of labor statistics, and premiums under obamacare's second-lowest costing "silver" plans rose 7.5 percent in 2015. plus, the u.s. spends far more per capita on health care -- $9,892 in 2016 -- than any other nation. that's a trend that doesn't show any sign of changing, according to the organization for economic cooperation and development (oecd).meanwhile, health care costs were outpacing the general rate of inflation long before th






it’s the most expensive congressional race ever, and it may hinge on health care


atlanta – the most expensive congressional race in u.s. history may hinge on the wonky topic of preexisting conditions. democrat jon ossoff, trying to seize a suburban atlanta seat held by republicans since 1979, has spent weeks railing against the gop health care bill passed by house lawmakers this spring. in debates, he’s repeatedly trotted out…






why our health care costs so much — and why fixes aren't likely


practically everyone knows health care in the united states is expensive — the most expensive in the world by seemingly every measure. but judging by the raging debate over the affordable care act, few really understand why.at the moment, the gop-led push in congress and the white house to overhaul obamacare is focusing on premiums and deductibles, coverage rates and co-pays. yet they are just the mechanisms of paying for a system that continues to consume a larger percentage of the nation’s gross domestic product than in any other highly industrialized country. for example, a study from the commonwealth fund, a nonpartisan health-care think tank, said the united states spent $9,086 per person in 2013 on medical expenses — $2,761 more than switzerland, the next-highest spender on the list






congress: don’t destroy the affordable care act, make it better


i say to trump and congress — if you want to devise a system that provides health insurance to millions, not just the privileged few, why tear down everything? amend the affordable care act.president donald trump, in discussing health-care policymaking, recently said: “i have to tell you, it’s an unbelievably complex subject. nobody knew that health care could be so ‎complicated.”as anyone in the health-care industry will tell you, this industry, which is roughly one-fifth of the american economy, is byzantine and divided into many sectors. the entire industry is built on conflicts of interest and ethical challenges facing providers delivering health care.repealing the affordable care act (aca) would cost the country approximately $350 billion. by repealing, congress would be taking taxpay






how did we get here? four essential reads on the status of health care in americ


by the conversation. house speaker paul ryan at a march 7, 2017 unveiling of the new health care bill called the american health care plan. susan walsh/ap editor’s note: the following is a roundup of archival stories related to the proposed american health care act and the affordable care act, commonly called obamacare. turmoil around health…






medicare for all, or a free-market health-care system?


in a debate hosted by mic, the federalist’s john davidson tried to explain to a socialist how freer markets could improve our health care system.yesterday, i participated in an online debate series hosted by mic. the question was: should the government provide all americans with free health care, or step out of the equation entirely and allow market competition to keep health care affordable for consumers?my opponent was maria svart, national director of the democratic socialists of america, who argued for “medicare for all.” i argued, not that the government should step out of the equation entirely, but that a freer health care market with less government intervention would solve many of our health care problems.the debate, part of a mic series called “actually,” was three rounds, no more






the new health care bill may cost you


donald trump’s american health care act has reappeared following its initial rejection last month, and republicans are pushing for a vote (stat!). michael chernew, a professor of health care policy at harvard medical school, breaks down the revisions—and the broader health care debate we are now in the midst of. what are the main differences between…






this practice shows health care can be cheap when people pay cash


how do we make health care more affordable for as many people as possible? democrats seem to believe we need a massive, byzantine health insurance law that drives up premiums, drastically expands medicaid, and flips the constitution’s commerce clause on its head. republicans seem to believe in keeping that law in place but tinkering with it in the worst ways possible. in much of europe they’ve decided taxpayers should pay all health expenditures.most people seem to believe health care is too expensive to be treated like a normal consumer market, so, one way or the other, we need the government to step in and do something big. but what if this is the completely wrong approach to securing affordable health care for the most people possible?that’s the implication behind places like dignitas h






watch mary katharine ham clap back at chris cuomo on healthcare


things got a little heated between federalist senior writer mary katharine ham and chris cuomo during a thursday morning health care discussion on cnn.“well, you can be nasty about it or you can listen to me,” ham replied after cuomo rebuked what he called a “cheap” answer about obamacare’s “essential health benefits.”ham shared her own experience with obamacare, explaining how heaping mandates onto health insurance plans make them too expensive for many to use.ham said she’s lost several health care plans since obamacare passed, and has seen large increases in premiums and deductibles during that time. when obama and democrats pitched and passed the affordable care act, they promised people could keep plans they liked and that premiums would go down for everyone—despite ample evidence to






health care is so expensive because you don't pay for it yourself


almost everyone involved in health care will tell you that the greatest problem in our system is that we pay on a fee-for-service basis. almost everyone is wrong.the logic is obvious: paying a fee for a service encourages providers to get more fees by providing more services. ergo, we consume too much and spend too much. ipso facto, getting rid of fee-for-service would result in fewer services and less spending. case closed.well, maybe not. in fact, almost everything we do in the course of our economic lives, we do on a fee-for-service basis. when we go to the movies, get our oil changed, have our roof replaced, buy a computer, get a haircut, hire a babysitter, buy a steak dinner, get someone to do our taxes or defend us in a suit, we do it on a fee-for-service basis. none of it is particu






10 places with affordable health care for children


any parent can tell you that raising a child is expensive. in fact, raising a kid in the united states is more expensive than ever. washington post reports that the average family spends about $233,610 from the time their baby greets the world to 17 years old, which is roughly $13,000 a year. the rising costs…






it's clear the gop's obamacare replacement won't work


j. scott applewhite, the associated presshouse speaker paul ryan of speaks during a news conference wednesday in washington regarding the gop’s plan to repeal and replace the affordable care act.re: “house gop releases bill replacing obama health care overhaul,” march 7 news story. well, house speaker paul ryan has rolled out his proposed revision to the affordable care act, and it’s clear that it won’t work. why? because it does not get all americans, sick or well, into the health care insurance pool. the biggest objection the gop had to the aca was, of course, the mandate, the requirement for everyone to get health insurance (or pay a penalty). they’ve gotten rid of that, which pretty much guarantees that many americans will not be able to afford health insurance.the fundamental question






all americans deserve quality health care


a single-payer health-care system, along with optional private insurance, is a cost effective, less complex way to provide quality health care.why doesn’t the most powerful nation on earth provide its citizens responsible health care and an effective payment system?in 1982, i worked in a large urban hospital emergency room, and the recession had caused many workers to be laid off. during one shift, a man arrived with a serious illness. because he lost his health insurance when laid off, he had not gone to the doctor, which, if he had, his illness might have been easily managed. now he was facing a painful, expensive surgery.i remember thinking, “our health care system is broken!” that was 35 years ago, and it’s many times worse today.got something to say about a topic in the news? we’re lo






fox news helps gop rep. save face after comparing health care to iphones


facebook, u.s. news‘those darn phones are expensive’: fox news helps gop rep. save face after comparing health care to iphonestravis gettys07 mar 2017 at 10:59 eta republican lawmaker headed over to fox news to walk back his widely criticized comparison of iphones and health care.rep. jason chaffetz (r-ut) told cnn’s “new day” that purchasing health care was a matter of personal responsibility, which he argued should not require government intervention.“maybe, rather than getting that new iphone that they just love and want to go spend hundreds of dollars on, maybe they should invest in their own health care,” chaffetz said tuesday morning.chaffetz appeared later that morning on fox news, where tried to clean up his remarks.“what we’re trying to say, and maybe i didn’t say it as smoothly a






gop health care plan is a disaster for california


so much for president trump’s promise to deliver a health care plan that will “have insurance for everybody” and health care “that is far less expensive and far better.”ryancare is an unmitigated disaster.house speaker paul ryan released the plan monday, and trump enthusiastically endorsed it tuesday — even though it covers fewer americans, increases costs for low-income and senior citizens, increases the deficit, defunds planned parenthood and does zero to reduce overall health care costs. zero.who does it help? the wealthiest americans and the profits of insurance companies.the plan would be cataclysmic for health care in california, where one-third of the  population — 13 million people — are covered by medi-cal. by a conservative estimate, the state stands to receive $8 billion less a






gop health care plan is a disaster for california


so much for president trump’s promise to deliver a health care plan that will “have insurance for everybody” and health care “that is far less expensive and far better.”trumpcare is an unmitigated disaster.house speaker paul ryan released the plan monday, and trump enthusiastically endorsed it tuesday — even though it covers fewer americans, increases costs for low-income and senior citizens, increases the deficit, defunds planned parenthood and does zero to reduce overall health care costs. zero.who does it help? the wealthiest americans and the profits of insurance companies.the plan would be cataclysmic for health care in california, where one-third of the  population — 13 million people — are covered by medi-cal. by a conservative estimate, the state stands to receive $8 billion less a






"health care" bills mask the costs of health care, because they're about insuran


thinkstock by getty imagesdespite their names, the affordable care act, the american health care act, and now the better care reconciliation act are really not about health care. they are all about insurance, which masks the charged costs of medical care. to solve the health care cost crisis, we need to understand the charges that medical providers submit. that’s usually shown on an insurer’s explanation of benefits, but they can be ignored by the insurance policy holder who doesn’t have to pay them. when one is admitted to a hospital emergency room or doctor’s office, the question is never “what will this cost?” but rather “what is the insurance company?”richard fritz,longmontsubmit a letter to the editor via this form or check out our guidelines for how to submit by e-mail or mail.






trump: australian health care system better than us


branchburg, n.j. (ap) — president donald trump says australia has a better health care system than the u.s., a comment that’s attracting attention because australia offers universal health care, which republicans oppose.in his meeting thursday with australian prime minister malcolm turnbull, trump said the existing u.s. system was failing: “i shouldn’t say this to a great gentleman and my friend from australia because you have better health care than we do.”he added that americans will have a “great” system soon, referring to the just-passed house gop health care bill.sen. bernie sanders quickly tweeted that australia provides free or subsidized health care: “thank you mr. trump for admitting that universal health care is the better way to go. i’ll be sure to quote you on the floor of the






here’s how many iphones you’ll need to not buy to afford health care


photo by thorn yang.yesterday, house republicans released their replacement for the affordable care act. and today, representative jason chaffetz said that people could afford the bill’s more expensive premiums by choosing to “invest in their own health care” rather than buying the latest iphone.advertisementif the bill becomes law, a lot of people would get less generous subsidies to help them afford insurance. on the other hand, we would all be allowed to save more of our own money in a health savings account. that’s nice, but it’s no substitute for insurance. here’s how chaffetz sees us coming up with the money to invest: americans have choices, and they’ve got to make a choice. so rather than getting that new iphone that they just love and want to go spend hundreds of dollars on that,






fox news helps gop rep. save face after comparing health care to iphones


a republican lawmaker headed over to fox news to walk back his widely criticized comparison of iphones and health care.rep. jason chaffetz (r-ut) told cnn’s “new day” that purchasing health care was a matter of personal responsibility, which he argued should not require government intervention.“maybe, rather than getting that new iphone that they just love and want to go spend hundreds of dollars on, maybe they should invest in their own health care,” chaffetz said tuesday morning.chaffetz appeared later that morning on fox news, where tried to clean up his remarks.“what we’re trying to say, and maybe i didn’t say it as smoothly as i possibly could, but people need to make a conscious choice, and i believe in self-reliance,” chaffetz said.he argued that americans should choose health care






here’s how many iphones you’ll need to not buy in order to afford health care


photo by thorn yang.yesterday, house republicans released their replacement for the affordable care act. and today, representative jason chaffetz said that people could afford the bill’s more expensive premiums by choosing to “invest in their own health care” rather than buying the latest iphone.advertisementif the bill becomes law, a lot of people would get less generous subsidies to help them afford insurance. on the other hand, we would all be allowed to save more of our own money in a health savings account. that’s nice, but it’s no substitute for insurance. here’s how chaffetz sees us coming up with the money to invest: americans have choices, and they’ve got to make a choice. so rather than getting that new iphone that they just love and want to go spend hundreds of dollars on that,






house lawmakers who supported gop health care bill get digital ad boost


the american action network (aan), a conservative think tank, is giving house republicans who supported the gop health care bill a boost with a $250,000 digital ad buy that will run over the next two weeks. the ads will promote the merits of the gop's american health care act (ahca) and the house lawmakers who voted for its passage. the ads will run on online platforms including google and facebook in 25 congressional districts across the country, including those of house speaker paul ryan, reps. kevin brady, ed royce, martha mcsally, greg walden, and steve scalise, among others. the buy complements a current national tv buy in 21 congressional districts. since january, the group has spent $12.7 million on advertising to promote the gop health care plan -- $2.7 million of that spending cam






repealing the aca will make health insurance more expensive


republicans want to replace the affordable care act with something that president donald trump argues will provide “insurance for everybody” with “much lower deductibles.” while he did not give any specifics, history provides deep evidence that republican alternatives are unlikely to be any more successful, or any less expensive, than those offered under the aca. more…






how did we get here? four essential reads on the status of health care in americ


how did we get here? four essential reads on the status of health care in america by the conversation. house speaker paul ryan at a march 7, 2017 unveiling of the new health care bill called the american health care plan. susan walsh/ap editor’s note: the following is a roundup of archival stories r...






fan reactions to kendrick lamar's 'damn.' are already in


while it’s only been a few seconds since kendrick lamar dropped damn., fan reactions have been swift. just before the album was officially released on streaming platforms like apple music thursday evening (april 13), the project was leaked.read: stream kendrick lamar’s highly anticipated ‘damn.’ albumof course, the industry began buzzing.but the tde camp quickly assured us all that everything isn’t what it seems.there were also the dedicated fans and admirers of the rapper who decided to play by the rules, not matter how good the temptations.nonetheless, the reactions continued from both versions.meanwhile, an anonymous twitter user threw some conspiracies into the mix.either way, now that damn. is here, it’s time to listen with no qualms. stream damn.here.






sanders, democrats see deaths from gop health care bill


senator bernie sanders and leading democrats are calling the republican health care bill a death sentence for thousands of americans. the republicans’ proposed replacement for obamacare narrowly passed the house thursday, with all 193 democrats voting no. related: trump and ryan face risks after health care win following the passing of the gop’s american health care…






‘nobody knew that health care could be so complicated’


washington — president donald trump promised the nation’s governors monday that his yet-to-be-revealed replacement plan for the affordable care act would give states greater flexibility and thanked some republicans in the room who advised him on health care. “it’s an unbelievably complex subject,” he said. “nobody knew that health care could be so complicated.” the remark…






illinois experts say republican health care plan could cost state $40 billion


full text: congressional budget office cost estimate of american health care actcbo cost estimate of american health care act (pdf) cbo cost estimate of american health care act (text)cbo cost estimate of american health care act (pdf) cbo cost estimate of american health care act (text)






gop pulls worst health care plan in history


the house of representatives on friday pulled what would have been the worst health care plan in american history.insured americans have hard-line conservatives to thank for the failure of the gop plan, but don’t gush. the house freedom caucus of the most ardent conservatives rejected the plan, not out of kindness but because it didn’t go far enough to lower the deficit or eliminate standards for coverage.requiring maternity coverage, for example. newborn care. mental health. wellness visits to prevent expensive, chronic diseases or to manage them inexpensively.president trump, the self-proclaimed master deal-maker, couldn’t get members of his own party to agree on a compromise. yes, mr. president, health care really is complicated. president obama spent a year working with both parties to






here is what you need to know about the gop’s new health care bill


welcome to ryancare. today, house republicans revealed their long-awaited health care bill. intended as a replacement for the affordable care act, the new legislation includes a shift away from income-based considerations, with potentially dire consequences for many americans. gerard anderson, professor of health policy and management at johns hopkins university school of public health, spoke with…






speaker ryan gives update on the american health care act


108 share this story!let friends in your social network know what you are reading aboutfacebookemailtwittergoogle+linkedinpinterestwatch live: speaker ryan gives update on the american health care actthe usa today network will provide live coverage as house speaker paul ryan addresses the canceled vote on the american health care act.sent!a link has been sent to your friend's email address.posted!a link has been posted to your facebook feed. usa today published 3:43 p.m. et march 24, 2017 | updated 2 hours agohouse speaker paul ryan of wis., speaks at the national republican congressional committee march dinner at the national building museum, tuesday, march 21, 2017, in washington. (ap photo/andrew harnik)(photo: andrew harnik, ap) 108 connectlinkedinemailmorehouse speaker paul ryan is ex






speaker ryan gives update on the american health care act


96 share this story!let friends in your social network know what you are reading aboutfacebookemailtwittergoogle+linkedinpinterestwatch live: speaker ryan gives update on the american health care actthe usa today network will provide live coverage as house speaker paul ryan addresses the canceled vote on the american health care act.sent!a link has been sent to your friend's email address.posted!a link has been posted to your facebook feed. usa today published 3:43 p.m. et march 24, 2017 | updated 1 hour agohouse speaker paul ryan of wis., speaks at the national republican congressional committee march dinner at the national building museum, tuesday, march 21, 2017, in washington. (ap photo/andrew harnik)(photo: andrew harnik, ap) 96 connectlinkedinemailmorehouse speaker paul ryan is expec






are you skipping that doctor visit or pill you need?


with medical costs continuing to rise along with the uncertainty about the future of health insurance coverage, new research shows more americans are going without the health care they need. a survey released wednesday from bankrate.com found that one in four american families have not sought medical care because they couldn't afford it. thirteen percent of respondents had no insurance, while the rest had a mix of employer-sponsored, individual and medicaid coverage. the bulk of uninsured respondents were millennials. younger, healthier people traditionally go without coverage. however, "even insured people found co-pays and deductibles far less affordable than they expected," said robin saks frankel, credit card analyst at bankrate.comtwo years ago, a kaiser family foundation study found






speaker ryan gives update on the american health care act


39 share this story!let friends in your social network know what you are reading aboutfacebookemailtwittergoogle+linkedinpinterestwatch live: speaker ryan gives update on the american health care actthe usa today network will provide live coverage as house speaker paul ryan addresses the canceled vote on the american health care act.sent!a link has been sent to your friend's email address.posted!a link has been posted to your facebook feed. usa today published 3:43 p.m. et march 24, 2017 | updated 9 minutes agohouse speaker paul ryan of wis., speaks at the national republican congressional committee march dinner at the national building museum, tuesday, march 21, 2017, in washington. (ap photo/andrew harnik)(photo: andrew harnik, ap) 39 connectlinkedinemailmorehouse speaker paul ryan is ex






trump’s immigration order sends ripples of worry through tech industry over h-1b


the turmoil over immigration issues, sparked by president trump’s travel restrictions, reaches deeply into the area’s tech industry, which has come to depend heavily on immigrant talent. the industry is especially concerned about the future of h-1b and other visa cl ifications.karan goel always expected it would be difficult to secure a long-term visa to work in the u.s. after his four years of studying computer science at the university of washington. but his path to that visa just got a lot murkier. goel, a 22-year-old originally from new delhi, india, needs a visa to continue working in the u.s. when his student status expires. he planned to work under a provision that allows student visas to be extended for up to two years while he entered the lottery for an h-1b, the coveted visa inte